Status: | Accident investigation report completed and information captured |
Date: | Sunday 29 April 2001 |
Time: | 13:12 |
Type: | Cessna 208 Caravan I |
Operator: | A. McVinish |
Registration: | VH-MMV |
MSN: | 20800003 |
First flight: | 1985 |
Total airframe hrs: | 8576 |
Engines: | 1 Pratt & Whitney Canada PT6A-114 |
Crew: | Fatalities: 0 / Occupants: 1 |
Passengers: | Fatalities: 1 / Occupants: 11 |
Total: | Fatalities: 1 / Occupants: 12 |
Aircraft damage: | Damaged beyond repair |
Location: | 4 km (2.5 mls) NW of Nagambie, VIC ( Australia)
|
Phase: | Maneuvering (MNV) |
Nature: | Parachuting |
Departure airport: | Ballieston East, VIC, Australia |
Destination airport: | Ballieston East, VIC, Australia |
Narrative:The Cessna Caravan was carrying 11 skydivers and climbed to FL140. As the first team of four exited the aircraft, the middle parachutists reserve parachutes pilot chute deployed. Due to the bent over position of that parachutist, the action of the ejector spring in the pilot chute pushed the chute upwards and over the horizontal stabiliser of the aircraft, pulling the reserve canopy with it. The parachutist passed below the horizontal stabiliser resulting in the reserve parachute risers and lines tangling around the left elevator and horizontal stabiliser. Eleven seconds later, the empennage separated from the aircraft and the left elevator and the parachutist separated from the empennage. The aircraft then entered a steep, nose-down spiral descent. The pilot instructed the remaining parachutists to abandon the aircraft; the last one left the aircraft at an altitude of 9,000 feet. The pilot transmitted a mayday call, shutdown the engine and left his seat. On reaching the rear of the cabin, he found that the roller blind had closed, preventing him from leaving the aircraft. After several attempts, the pilot raised the blind sufficiently to allow him to exit the aircraft, and at an altitude of approximately 1,000 feet agl, he deployed his parachute and landed safely.
Probable Cause:
SIGNIFICANT FACTORS:
"1. The parachutists reserve parachute deployed prematurely, probably as a result of the parachute container coming into contact with the aircraft doorframe/handrail.
2. The reserve parachute risers and lines tangled around the horizontal stabiliser and elevator.
3. The reserve canopy partially filled, applying to the aircraft empennage a load that exceeded its design limits.
4. The empennage separated from the aircraft and the elevator separated from the empennage, releasing the parachutist and sending the aircraft out of control."
Accident investigation:
|
Investigating agency: | ATSB (Australia) |
Status: | Investigation completed |
Duration: | 1 years | Accident number: | ATSB report 200101903 | Download report: | Final report
|
|
Classification:
Collision with person or animal on the ground
Loss of control
Sources:
» News.com.au
» Richard Barrett
Follow-up / safety actions
Following the accident, the Australian Parachute Federation (APF) highlighted the dangers inherent in containers contacting parts of aircraft to her members and also issued a warning poster to personnel at drop zones and instructors.
The designer of the roller blind has amended the design to include a device to lock the blind in the open position, and a placard warning that the blind must be locked open during parachuting.
ATSB issued 3 Safety Recommendations
Issued: 22-APR-2002 | To: Australian Parachute Federation | R20010185 |
The Australian Transport Safety Bureau recommends that the Australian Parachute Federation advise its members of the need to use exit techniques and positions that avoid any contact between the parachute container and the aircraft. (No Response) |
Issued: 22-APR-2002 | To: Australian Skydiving Association | R20010186 |
The Australian Transport Safety Bureau recommends that the Australian Skydiving Association advise its members of the need to use exit techniques and positions that avoid any contact between the parachute container and the aircraft. (No Response) |
Issued: 22-APR-2002 | To: CASA, Australian Parachute Federation, Australian Skydiving Association | R20010187 |
The Australian Transport Safety Bureau recommends that the Civil Aviation Safety Authority, Australian Parachute Federation and the Australian Skydiving Association review the safety advantages of requiring pilots, where practicable, to wear parachutes during parachute operations. (Closed - Accepted) |
Show all...
Photos
Video, social media
This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.